| NPI | 1760595706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT W. ALBERTELLI President 801-295-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: UT 4964666-9922) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-08-22 |